结核病和COVID-19双重影响人类Th17细胞免疫反应
Anna Starshinova1, Igor Kudryavtsev2, Artem Rubinstein2
1Almazov National Medical Research Centre, 197341 St-Petersburg, Russia.
Biomedicines
|August 26, 2023
概括
COVID-19显著改变了结核病患者的免疫反应,影响了疾病的过程和严重程度. 了解这些变化对于管理潜在结核病感染和活跃结核病,特别是SARS-CoV-2感染后的管理至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- COVID-19影响结核病 (TB) 检测和免疫反应.
- 免疫反应的改变对于了解结核病的发展和进展至关重要,特别是在同时感染的患者中.
- 研究潜伏结核病感染 (LTBI) 和SARS-CoV-2感染结核病患者的免疫变化至关重要.
研究的目的:
- 审查结核病患者和康复期的COVID-19患者的免疫反应特征.
- 分析SARS-CoV-2感染如何影响与结核相关的免疫格局.
主要方法:
- 从2019年12月到2023年3月的出版物的系统文献综述.
- 使用关键字搜索了主要数据库 (Medline,PubMed,Scopus):COVID-19,SARS-CoV-2,结核病,肺结核病,LTBI,Treg,毛囊Treg,Treg子集.使用关键字搜索了主要数据库 (Medline,PubMed,Scopus).
- 分析了结核病和COVID-19患者的免疫反应特征.
主要成果:
- 以前患有COVID-19的结核病患者显示Th1和Th2细胞水平升高,表明免疫反应被激活.
- COVID-19或COVID-19后的受试者表现出降低的Th17水平,可能限制结核病的发展.
- 虽然结核病通常会增加Treg水平,但COVID-19可以诱导高炎症反应,与典型的Treg相关免疫调节形成鲜明对比.
结论:
- SARS-CoV-2 感染通过修改的免疫反应明显改变了结核病的进展.
- 调控性T细胞 (Treg) 水平的下降与严重活跃结核病的发展有关.
- 这两种病原体都会破坏免疫平衡,增加严重结核病的风险,并需要改善潜伏和活跃结核病患者的管理策略.
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